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Down the Resistance Road: An Exploration of the Evolution and Emergence of Antibiotic Resistance in Enterococcus faecalis Communities.
Down the Resistance Road: An Exploration of the Evolution and Emergence of Antibiotic Resi...
Down the Resistance Road: An Exploration of the Evolution and Emergence of Antibiotic Resistance in Enterococcus faecalis Communities.

상세정보

자료유형  
 학위논문(국외)
기본표목-개인명  
표제와 책임표시사항  
Down the Resistance Road: An Exploration of the Evolution and Emergence of Antibiotic Resistance in Enterococcus faecalis Communities.
발행, 배포, 간사 사항  
[S.l.] : University of Michigan. , 2025
    발행, 배포, 간사 사항  
    Ann Arbor : ProQuest Dissertations & Theses , 2025
      형태사항  
      163 p.
      일반주기  
      Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
      일반주기  
      Advisor: Veatch, Sarah;Wood, Kevin B. .
      학위논문주기  
      Thesis (Ph.D.)--University of Michigan, 2025.
      요약 등 주기  
      요약Antibiotic resistance poses a growing and global threat to public health. The rapid resistance evolution of microbes challenges our ability to control infections and leads to increased mortality. In this work, we explore the dynamics of antibiotic resistance evolution and the emergence of cooperative resistance-a phenomenon where antibiotic susceptible cells survive in drug environments due to cooperative interactions with antibiotic resistant cells- through a combination of experimental assays and mathematical modeling. To examine these dynamics, we use Enterococcus faecalis, a common pathogen in hospital-acquired infections that is notorious for its capacity to acquire resistance and to remain viable in biofilms.In the first study, we use a continuous culture bioreactor to subject an isogenic bacterial population to a combination of linezolid and levofloxacin to explore the effects of antagonistic antibiotics (i.e., ones that work less effectively in combination as opposed to synergistic combinations, where the efficacy of the drug is enhanced by the presence of the other) on the rate of resistance evolution. Our results show how this pair can inhibit evolutionary resistance, challenging conventional therapies favoring synergistic combinations. In the second study, we present a fluorescent-reporter library tailored to E. faecalis that facilitates following the single-cell level dynamics of populations in spatially fixed systems and in bulk assays. Lastly, we apply this reporter library to study mixed biofilms of differently labeled Ampicillin susceptible and Ampicillin resistant Enterococci. We combine experimental and in silico methods to show that biofilm structure can shape resistance, an effect driven by cooperative interactions among resistant and sensitive subpopulations. Our results indicate that we can actively modulate and potentially disrupt cooperative resistance behaviors by adjusting the population composition and the spatial arrangement of individual cells. In this way, we expand our understanding of the key parameters that play a role in the emergence of antibiotic resistance in spatially fixed bacterial communities. We open new directions for antimicrobial management that had not been appreciated before that focus on disrupting interactions between individuals in a mixed bacterial community instead of mechanisms of resistance that are intrinsic to a single cell.
      주제명부출표목-일반주제명  
      주제명부출표목-일반주제명  
      주제명부출표목-일반주제명  
      주제명부출표목-일반주제명  
      비통제 색인어  
      비통제 색인어  
      비통제 색인어  
      비통제 색인어  
      비통제 색인어  
      부출표목-단체명  
      기본자료저록  
      Dissertations Abstracts International. 86-11B.
      전자적 위치 및 접속  
       원문정보보기

      MARC

       008260219s2025        us  ||||||||||||||c||eng  d
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      ■040    ▼aMiAaPQ▼cMiAaPQ
      ■0820  ▼a574.191
      ■1001  ▼aGuardiola  Flores,  Keanu  Alexander.
      ■24510▼aDown  the  Resistance  Road:  An  Exploration  of  the  Evolution  and  Emergence  of  Antibiotic  Resistance  in  Enterococcus  faecalis  Communities.
      ■260    ▼a[S.l.]▼bUniversity  of  Michigan.  ▼c2025
      ■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
      ■300    ▼a163  p.
      ■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-11,  Section:  B.
      ■500    ▼aAdvisor:  Veatch,  Sarah;Wood,  Kevin    B.  .
      ■5021  ▼aThesis  (Ph.D.)--University  of  Michigan,  2025.
      ■520    ▼aAntibiotic  resistance  poses  a  growing  and  global  threat  to  public  health.  The  rapid  resistance  evolution  of  microbes  challenges  our  ability  to  control  infections  and  leads  to  increased  mortality.  In  this  work,  we  explore  the  dynamics  of  antibiotic  resistance  evolution  and  the  emergence  of  cooperative  resistance-a  phenomenon  where  antibiotic  susceptible  cells  survive  in  drug  environments  due  to  cooperative  interactions  with  antibiotic  resistant  cells-  through  a  combination  of  experimental  assays  and  mathematical  modeling.  To  examine  these  dynamics,  we  use  Enterococcus  faecalis,  a  common  pathogen  in  hospital-acquired  infections  that  is  notorious  for  its  capacity  to  acquire  resistance  and  to  remain  viable  in  biofilms.In  the  first  study,  we  use  a  continuous  culture  bioreactor  to  subject  an  isogenic  bacterial  population  to  a  combination  of  linezolid  and  levofloxacin  to  explore  the  effects  of  antagonistic  antibiotics  (i.e.,  ones  that  work  less  effectively  in  combination  as  opposed  to  synergistic  combinations,  where  the  efficacy  of  the  drug  is  enhanced  by  the  presence  of  the  other)  on  the  rate  of  resistance  evolution.  Our  results  show  how  this  pair  can  inhibit  evolutionary  resistance,  challenging  conventional  therapies  favoring  synergistic  combinations.  In  the  second  study,  we  present  a  fluorescent-reporter  library  tailored  to  E.  faecalis  that  facilitates  following  the  single-cell  level  dynamics  of  populations  in  spatially  fixed  systems  and  in  bulk  assays.  Lastly,  we  apply  this  reporter  library  to  study  mixed  biofilms  of  differently  labeled  Ampicillin  susceptible  and  Ampicillin  resistant  Enterococci.  We  combine  experimental  and  in  silico  methods  to  show  that  biofilm  structure  can  shape  resistance,  an  effect  driven  by  cooperative  interactions  among  resistant  and  sensitive  subpopulations.  Our  results  indicate  that  we  can  actively  modulate  and  potentially  disrupt  cooperative  resistance  behaviors  by  adjusting  the  population  composition  and  the  spatial  arrangement  of  individual  cells.  In  this  way,  we  expand  our  understanding  of  the  key  parameters  that  play  a  role  in  the  emergence  of  antibiotic  resistance  in  spatially  fixed  bacterial  communities.  We  open  new  directions  for  antimicrobial  management  that  had  not  been  appreciated  before  that  focus  on  disrupting  interactions  between  individuals  in  a  mixed  bacterial  community  instead  of  mechanisms  of  resistance  that  are  intrinsic  to  a  single  cell.
      ■590    ▼aSchool  code:  0127.
      ■650  4▼aBiophysics.
      ■650  4▼aEvolution  &  development.
      ■650  4▼aMicrobiology.
      ■650  4▼aBioengineering.
      ■653    ▼aEnterococcus  faecalis
      ■653    ▼aAntibiotic  resistance
      ■653    ▼aMicrobial  population  dynamics
      ■653    ▼aBiofilms
      ■653    ▼aBacterial  population
      ■690    ▼a0786
      ■690    ▼a0412
      ■690    ▼a0202
      ■690    ▼a0410
      ■71020▼aUniversity  of  Michigan▼bBiophysics.
      ■7730  ▼tDissertations  Abstracts  International▼g86-11B.
      ■790    ▼a0127
      ■791    ▼aPh.D.
      ■792    ▼a2025
      ■793    ▼aEnglish
      ■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358089▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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